Sequential 123-I-iododexetimide scans in temporal lobe epilepsy: comparison with neuroimaging scans (MR imaging and 18-F-FDG-PET imaging)

Purpose Muscarinic acetylcholine receptors (mAChRs) play an important role in the generation of seizures. Single-photon emission computed tomography (SPECT) with ¹²³I-iododexetimide (IDEX) depicts tracer uptake by mAChRs. Our aims were to: (a) determine the optimum time for interictal IDEX SPECT imaging; (b) determine the accuracy of IDEX scans in the localisation of seizure foci when compared with video EEG and MR imaging in patients with temporal lobe epilepsy (TLE); (c) characterise the distribution of IDEX binding in the temporal lobes and (d) compare IDEX SPECT and ¹⁸F-fluorodeoxyglucose (FDG) positron emission tomography (PET) in identifying seizure foci.
Methods We performed sequential scans using IDEX SPECT imaging at 0, 3, 6 and 24 h in 12 consecutive patients with refractory TLE undergoing assessment for epilepsy surgery. Visual and region of interest analyses of the mesial, lateral and polar regions of the temporal lobes were used to compare IDEX SPECT, FDG PET and MR imaging in seizure onset localisation.
Results The 6-h IDEX scan (92%; κappa=0.83, p=0.003) was superior to the 0-h (36%; kappa=0.01, p>0.05), 3-h (55%;κappa=0.13, p>0.05) and 24-h IDEX scans in identifying the temporal lobe of seizure origin. The 6-h IDEX scan correctly predicted the temporal lobe of seizure origin in two patients who required intracranial EEG recordings to define the seizure onset. Reduced ligand binding was most marked at the temporal pole and mesial temporal structures. IDEX SPECT was superior to interictal FDG PET (75%; κappa=0.66, p=0.023) in seizure onset localisation. MR imaging was non-localising in two patients in whom it was normal and in another patient in whom there was bilateral symmetrical hippocampal atrophy.
Conclusion The 6-h IDEX SPECT scan is a viable alternative to FDG PET imaging in seizure onset localisation in TLE.

Bone geometry in response to long-term tennis playing and its relationship with muscle volume : a quantitative magnetic resonance imaging study in tennis players

The benefit of impact-loading activity for bone strength depends on whether the additional bone mineral content (BMC) accrued at loaded sites is due to an increased bone size, volumetric bone mineral density (vBMD) or both. Using magnetic resonance imaging (MRI) and dual energy X-ray absorptiometry (DXA), the aim of this study was to characterize the geometric changes of the dominant radius in response to long-term tennis playing and to assess the influence of muscle forces on bone tissue by investigating the muscle–bone relationship. Twenty tennis players (10 men and 10 women, mean age: 23.1 ± 4.7 years, with 14.3 ± 3.4 years of playing) were recruited. The total bone volume, cortical volume, sub-cortical volume and muscle volume were measured at both distal radii by MRI. BMC was assessed by DXA and was divided by the total bone volume to derive vBMD. Grip strength was evaluated with a dynamometer. Significant side-to-side differences (P < 0.0001) were found in muscle volume (+9.7%), grip strength (+13.3%), BMC (+13.5%), total bone volume (+10.3%) and sub-cortical volume (+20.6%), but not in cortical volume (+2.6%, ns). The asymmetry in total bone volume explained 75% of the variance in BMC asymmetry (P < 0.0001). vBMD was slightly higher on the dominant side (+3.3%, P < 0.05). Grip strength and muscle volume correlated with all bone variables (except vBMD) on both sides (r = 0.48–0.86, P < 0.05–0.0001) but the asymmetries in muscle parameters did not correlate with those in bone parameters. After adjustment for muscle volume or grip strength, BMC was still greater on the dominant side. This study showed that the greater BMC induced by long-term tennis playing at the dominant radius was associated to a marked increase in bone size and a slight improvement in volumetric BMD, thereby improving bone strength. In addition to the muscle contractions, other mechanical stimuli seemed to exert a direct effect on bone tissue, contributing to the specific bone response to tennis playing.

The effects of repetitive loading on bone mass and geometry in young male tennis players : a quantative study using magnetic resonance imaging

Pre- and early puberty seem to be the most opportune times for exercise to  improve bone strength in girls, but few studies have addressed this issue in boys. This study investigated the site-, surface-, and maturity-specific exercise-induced changes in bone mass and geometry in young boys. The osteogenic effects of loading were analyzed by comparing the playing and nonplaying humeri of 43 male pre-, peri-, and postpubertal competitive tennis players 10-19 yr of age. Total bone area, medullary area, and cortical area were determined at the mid (40-50%) and distal humerus (60-70%) of both arms using MRI. Humeral bone mass (BMC) was derived from a whole body DXA scan. In prepubertal boys, BMC was 17% greater in the playing compared with nonplaying arm (p < 0.001), which was accompanied by a 12-21% greater cortical area, because of greater periosteal expansion than medullary expansion at the midhumerus and periosteal expansion associated with medullary contraction at the distal humerus. Compared with prepuberty, the side-to-side differences in BMC (27%) and cortical area (20-33%) were greater in peripuberty (p < 0.01). No differences were found between peri- and postpuberty despite longer playing history in the postpubertal players.The osteogenic response to loading was greater in peri- compared with prepubertal boys, which is in contrast with our previous findings in girls and may be caused by differences in training history. This suggests that the window of opportunity to improve bone mass and size through exercise may be longer in boys than in girls.

Changing preferences : conventional photography to digital imaging in communicating architecture

Architectural photography is merging into a new form of image capture and output which is a mix of conventional photography and digital imagery. As this transition takes place it is anticipated that the credibility of the image may also change. the aim of the project is to research the perception of the quality, content and authenticity of both conventional photography and digitally produced images used within the architectural profession.

Maximum likelihood estimation for rician distributed data in analytical q-ball imaging

Analytical q-ball imaging is widely used for reconstruction of orientation distribution function (ODF) using diffusion weighted MRI data. Estimating the spherical harmonic coefficients is a critical step in this method. Least squares (LS) is widely used for this purpose assuming the noise to be additive Gaussian. However, Rician noise is considered as a more appropriate model to describe noise in MR signal. Therefore, the current estimation techniques are valid only for high SNRs with Gaussian distribution approximating the Rician distribution. The aim of this study is to present an estimation approach considering the actual distribution of the data to provide reliable results particularly for the case of low SNR values. Maximum likelihood (ML) is investigated as a more effective estimation method. However, no closed form estimator is presented as the estimator becomes nonlinear for the noise assumption of the Rician distribution. Consequently, the results of LS estimator is used as an initial guess and the more refined answer is achieved using iterative numerical methods. According to the results, the ODFs reconstructed from low SNR data are in close agreement with ODFs reconstructed from high SNRs when Rician distribution is considered. Also, the error between the estimated and actual fiber orientations was compared using ML and LS estimator. In low SNRs, ML estimator achieves less error compared to the LS estimator.

Visualisation of chemical processes during corrosion of zinc using magnetic resonance imaging

Compositional and structural changes within an electrolyte solution above an electrochemically active metal surface have been visualised using magnetic resonance imaging (MRI) for the first time. In these proof-of-concept experiments, zinc metal was galvanically corroded in a saturated lithium chloride solution. Magnetic resonance relaxation maps were taken during the corrosion process and spatial variations in both T₁ and T₂ relaxation times were observed to change with time. These changes were attributed to changes in the speciation of zinc ions in the electrolyte.

Maximum-likelihood based estimation for Q-ball imaging using diffusion-weighted MRI data

Q-ball imaging has been presented to reconstruct diffusion orientation distribution function using diffusion weighted MRI. In this thesiis, we present a novel and robust approach to satisfy the smoothness constraint required in Q-ball imaging. Moreover, we developed an improved estimator based on the actual distribution of the MR data.

Analysis of dynamic strains in tibia during human locomotion based on flexible multibody approach integrated with magnetic resonance imaging technique

Bone is known to adapt to the prevalent strain environment while the variation in strains, e.g., due to mechanical loading, modulates bone remodeling, and modeling. Dynamic strains rather than static strains provide the primary stimulus of bone functional adaptation. The finite element method can be generally used for estimating bone strains, but it may be limited to the static analysis of bone strains since the dynamic analysis requires expensive computation. Direct in vivo strain measurement, in turn, is an invasive procedure, limited to certain superficial bone sites, and requires surgical implementation of strain gauges and thus involves risks (e.g., infection). Therefore, to overcome difficulties associated with the finite element method and the in vivo strain measurements, the flexible multibody simulation approach has been recently introduced as a feasible method to estimate dynamic bone strains during physical activity. The purpose of the present study is to further strengthen the idea of using the flexible multibody approach for the analysis of dynamic bone strains. Besides discussing the background theory, magnetic resonance imaging is integrated into the flexible multibody approach framework so that the actual bone geometry could be better accounted for and the accuracy of prediction improved.

Two-photon endomicroscopy for 3D imaging of cancer cells labelled with gold nanorods

Biofunctional nanorods are developed to specifically target cancer cells. The cervical cancer cells, HeLa cells, are labeled by these biofunctional gold nanorods. Those cancer cells can be detected by a multi-photon-excited photoluminescence endomicroscope, which proves that the cancers can be in vivo diagnosed by using biofunctional gold nanorods with nonlinear endomicroscopy.

Two-photon imaging and photothermal therapy of cancer cells using biofunctional gold nanorods

Transferrin-conjugated gold nanorods were used for targeting, two-photon imaging and photothermal therapy of cancer cells. The presence of nanorods significantly reduced the laser power effective for therapy.